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Parathyroid Adenoma Causing Spontaneous Cervical Hematoma: A Case Report and Review of Literature

대한두경부종양학회지 2019년 35권 2호 p.27 ~ 30
신태현 ( Shin Tae-Hyun ) - 차의과학대학교 분당차병원 이비인후과-두경부외과학교실

박성수 ( Park Sung-Su ) - 차의과학대학교 분당차병원 이비인후과-두경부외과학교실
원청세 ( Won Cheong-Se ) - 차의과학대학교 분당차병원 이비인후과-두경부외과학교실
김미경 ( Kim Mi-Kyung ) - 차의과학대학교 분당차병원 이비인후과-두경부외과학교실
김민수 ( Kim Min-Su ) - 차의과학대학교 분당차병원 이비인후과-두경부외과학교실

Abstract


Parathyroid adenoma can cause extracapsular bleeding. In 1934, Capps first reported a case of massive hemor-rhage secondary to rupture of a parathyroid adenoma. Recently, we experienced a 73-year-old female presented with pharyngeal discomfort and extensive ecchymosis over the neck without history of trauma. Endoscopic inves-tigation revealed submucosal hemorrhage in the posterior wall of the hypopharynx. CT scan and ultrasonography demonstrated the presence of a mass below the left thyroid lobe. Serum calcium level was normal and PTH level was elevated. We underwent left thyroidectomy and parathyroidectomy 2 weeks later from first visit. During the operation, hypopharyngeal mucosa was teared and it was treated with pharyngostoma formation and L-tube feeding. We report a rare case of normocalcemic parathyroid adenoma with spontaneous hemorrhage and propose the proper management period with a literature review

키워드

Parathyroid adenoma; Cervical hematoma; Pharyngocutaneous fistula
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